Andrew E Accardi, A.T.C/L

Key facts

NPI

1750359592

Entity type

Individual (NPI type 1)

Primary specialty

Athletic Trainer 2255A2300X

Practice address

313 S Dement Ave
Dixon, IL 61021-3110

Phone

(815) 288-7846

Fax

(815) 625-8444

NPI assigned

Mar 9, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1750359592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 S DEMENT AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213110",
            "telephone_number": "815-288-7846",
            "fax_number": "815-625-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 S DEMENT AVE",
            "city": "DIXON",
            "state": "IL",
            "postal_code": "610213110",
            "telephone_number": "815-288-7846",
            "fax_number": "815-625-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCARDI",
        "first_name": "ANDREW",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "A.T.C/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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